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Hospital Consultation, Lower Complexity

Oklahoma rates for HCPCS 99252

A specialist's opinion on a hospital patient, requested by the doctor already caring for them. The consultant takes a history, examines the patient, reviews the records, and writes back with advice. This is one of the shorter consultations of its kind, for a problem that is fairly limited in complexity.

Rates data updated July 2026.

How much does Hospital Consultation, Lower Complexity cost?

$115

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $87.10 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$75.86 to $135
FacilityA hospital or hospital-owned outpatient department$87.10$67.61 to $123

How much rates vary

Facilitymedian $87 · 10th to 90th $68 to $145Professionalmedian $115 · 10th to 90th $55 to $148
$50$100$200facility $87professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$144.54
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$109.65

Where Oklahoma sits

The same service costs 2.3 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oklahoma· 18th of 51

$115

SD $158DC $67.61

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.